Organization
MIDWEST OPTOMETRIC SERVICES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO J PRENTICE O.D. (OWNERS)
(630) 663-9112
Entity
Organization
Contact information
Practice address
7451 WOODWARD AVE, SUITE 101, WOODRIDGE, IL 60517-2665
(630) 663-9112
(630) 663-9228
Mailing address
7451 WOODWARD AVE, SUITE 101, WOODRIDGE, IL 60517-2665
(630) 663-9112
(630) 663-9228
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
046007225
IL
Other
Enumeration date
03/26/2008
Last updated
06/01/2010
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